Individual
JENNIFER L KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4437 STATE ROUTE 159, SUITE 125, CHILLICOTHE, OH 45601-7065
(740) 779-4570
(740) 779-4579
Mailing address
4437 STATE ROUTE 159 STE 125, CHILLICOTHE, OH 45601-7065
(740) 779-4570
(740) 779-4579
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
35076994W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000362663
ANTHEM BCBS
—
01
—
133184
NATIONWIDE INSURANCE
—
01
—
2547680
UNITED HEALTHCARE
—
05
—
2595115
—
OH
01
—
PO0244309
RAILROAD MEDICARE
—
Enumeration date
04/10/2006
Last updated
09/06/2022
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